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Cortizone is a steroid. It reduces inflammation in joints, thereby decreasing swelling and pain. Cortizone would not create pain.

However, the shoulder consists of complex inter-twined structures and muscles. Muscles attach to bones in the chest and back. When a shoulder is injured, it can create referred pain, that is, pain felt in nearby body areas. So your neck, shoulder, chest/ribcage, sternum (center bone between the breasts), and upper back muscles can hurt. The "ache" is constant, disrupts sleep, and many usual positions hurt.

If you sleep on your side, put a pillow in front of you, to support the arm from shoulder to fingertips. This prevents the shoulder from rolling forward during sleep.

If you sleep on your back, fold a bath towel and put it under your shoulder and alongside your body so your whole arm is on the folded towel. This keeps the shoulder from 'dropping' into the bed during sleep.

You might also buy a sling and wear it during sleep. A usual sling only has a strap that goes diagonally across the chest and back, resting on the unhurt shoulder. But, you can add a piece of fabic from the sling at the elbow on the hurt side, going around your waist and attaching to the sling at the hand/wrist area. Make the waist-belt snug but loose enough to put 1 or 2 fingers underneath the waist-belt. This will prevent gravity from pulling the shoulder downward if you sleep on your side. A sling also helps remind a person to not roll over onto the hurt side.

It's important to NOT wear the sling all the time unless the doctor says to do it. But, a sling can help a lot when sitting in a chair or in bed during sleep.

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Q: Can a cortizone shot in your shoulder make your chest hurt and keep you up all night?
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